- Oak Orchard Health (Brockport, NY)
- …the third-party billing organization to ensure proper processing of all payer claims . This would include research for accuracy, analyze reports, follow through ... the third-party billing company + Manage Accounts Receivable related to all claims and ensure reconciliation with the general ledger. This involves working closely… more
- Sharecare (Albany, NY)
- …eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, ... + Coordinate issue resolution with providers, payers or 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization management intake or… more
- New York State Civil Service (Albany, NY)
- …unlicensed operation, fraudulent school activity, non-payment of fines, tuition reimbursement claims , etc.;* Develop and/or assist with the development of responses ... meet the open-competitive minimum qualifications for this position. The qualifications are:* Assistant Attorney 1: EITHER:o Be a graduate of an accredited law school… more
- New York State Civil Service (Albany, NY)
- …Senior Attorney, the incumbent will perform the following duties: .Investigate lawsuits and claims as well as CPLR Article 78 proceedings against the agency and ... Minimum Qualifications Senior Attorney (SG-25):One year of permanent competitive service as an Assistant Attorney 3, or Admission to the NYS Bar and two years of… more
- Oracle (Little Rock, AR)
- **Job Description** Oracle Clinical AI Assistant (CAA) allows providers and their support staff to focus more on patient care by reducing administrative burden of ... grow your career in this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to engineering for… more
- Amentum (Washington, DC)
- …**AMENTUM Job Title: Senior Paralegal** **MEGA V Labor Category: Paralegal/Legal Assistant II** **General** The September 11th Victim Compensation Fund ("VCF") was ... review team leads and supervisors and, under the supervision of the Claims Manager, the Claim Review Assessor performs pre-screen, claim preparation, administrative… more
- Robert Half Legal (Bayport, MN)
- …complex matters and contributing directly to business success. Responsibilities: * Manage claims and lawsuits related to specific business units or product lines, ... litigation progress. * Partner with insurance providers and adjustors to address claims effectively. * Collect, analyze, and organize internal and external documents… more
- The County of Los Angeles (Los Angeles, CA)
- …and Recreation's five operational regions. Positions in this class report to an Assistant Director of Parks and Recreation and support the overall management of ... Essential Job Functions + Under the direction of an Assistant Director, manages the recreation services, crafts and ground...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- New York State Civil Service (New York, NY)
- …including rates of medical necessity approvals and denials, rates of appeals, claims paid; and cost-sharing requirements;* Reviews the health care provider networks ... Minimum Qualifications: Senior Attorney, SG-25: One year as an Assistant Attorney 3 or admission to the NYS Bar...Bar and two years of subsequent professional legal experience. Assistant Attorney 3, SG-22: One year as Assistant… more
- The County of Los Angeles (Los Angeles, CA)
- …to established procedures. Requirements SELECTION REQUIREMENTS: 1. Certification as a Nursing Assistant by the State of California. * -AND- 2. Current certification ... process, applicants must have current certification as a Nursing Assistant by the State of California. Required license(s) and/or...of option chosen, Los Angeles County will not consider claims of not receiving email notification to be a… more